Persevere in providing an equitable and rigorous foundation for students to succeed.
IS NOW OPEN
*applications must be received by end of business day November 29, 2019
Benefits for those who make changes during the open enrollment period will become effective January 1, 2020.
Open enrollment is the only opportunity for you to make changes to your health insurance coverage, unless there is a relevant qualifying event mid-year and the Business Office is notified and provided with documentation within 30 days of the qualifying event.
CHANGES ALLOWED DURING OPEN ENROLLMENT
Eligible employees may use the open enrollment opportunity to:
- Enroll/Discontinue coverage
- Enroll/Discontinue family dental
- Enroll/Discontinue dependent coverage
2020 BCBS ENROLLMENT FORM
GROUP HEALTH PLAN MEDICAL
GROUP HEALTH PLAN DENTAL
GROUP HEALTH PLAN VISION
GROUP HEALTH PLAN TERM LIFE
GROUP HEALTH PLAN LONG-TERM DISABILITY
HIPAA NOTICE OF PRIVACY PRACTICES
HIPAA SPECIAL ENROLLMENT RIGHTS NOTICE
NOTICE OF CREDITABLE COVERAGE
NOTICE OF PREMIUM ASSISTANCE
PRESCRIPTION MAIL ORDER
403(b) and 457(b) Plans
SUPPLEMENTAL INSURANCE
IMRF - Voluntary Additional Contributions (VAC)
IMRF - NCPERS VOLUNTARY LIFE INSURANCE